The holder whose full name is Long, Jessica,come from Kokomo IN,hold the Pharmacy Tech In-Training license(NO.99012544A) which status is Superceded.
| Name | Long, Jessica |
|---|---|
| License Number | 99012544A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Kokomo |
| State | IN |